Individual
MARTHA MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13055 W MCDOWELL RD, SUITE G-112, AVONDALE, AZ 85392-6449
(623) 792-5021
(623) 792-5262
Mailing address
218 E EUGIE AVE, PHOENIX, AZ 85022-4726
(602) 866-0370
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-1568
AZ
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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